Unit 3: Safe Patient Movement & Handling Techniques Flashcards
Proper lifting and lifting techniques ________ job safety
increases
What is the leading cause of disability for people in their working years?
Back Problems
The average back injury costs employers how much money?
$24,000
What does the average workers compensation lumbar fusion cost?
$164,000
What is Biomechanics?
applying the laws of physics to the human body
What is the base of support?
the feet and space between feet
When transferring, what type of base do you want?
wide base
Three types of bases of support
normal, wide, narrow
What is our center of gravity?
middle of the pelvis
Center of Gravity
Hypothetical points at which all the mass appears to be concentrated
When is center of gravity achieved?
when center of gravity os over the body’s base of support
_____ rather than pull
push
Mobility muscles
voluntary muscles to keep us in motion (biceps)
Stability muscles
Muscles to keep us balanced (back)
Let _______ do as much of the transfer as possible
the patient
Hold the patient’s ______ ___ _______ close to your own ______ ___ ________ when transfering
center of gravity
Principles of Transfer (1)
- Execute the transfer slowly enough for the patient to feel secure
Principle of Transfer (2)
- Take a transfer/gait belt is a good practice when planning to perform transfers. The transfer/gait belt should be around the patient’s waist to minimize stress on the patient’s shoulder girdle
Principle of Transfer (3)
- Secure loose clothing on the patient
Principle of Transfer (4)
- Lift the patient with your legs, avoid back bending
Principle of Transfer (5)
- Avoid trunk twisting during transfer
Principle of Transfer (6)
- Never lift more than you can. Ask for assistance when needed
Principles of Transfer (7)
- Watch the patient for signs of orthostatic hypotension and take precautions to minimize its effects
What is orthostatic hypotension?
Standing up too fast creating negative symptoms
Symptoms of Orthostatic Hypotension?
Dizziness, Bodily dissociation, Distortion in hearing, lightheadedness, nausea, headache, blurred or dimmed vision, generalized numbness/tingling and fainting, slurred speech
RARE CASES: vasovagal syncope (specific type of fainting)
T/F: you can send a patient away if they have orthostatic hypotension symptoms
FALSE
Four Basic Wheelchair Transfer Types
Standby Assist, Assisted Standing Pivot, Two-person Lift, Hydraulic Lift
During wheelchair transfers, you must determine a patients ______ and ______ side
strong, weak
Always position the patient so that he or she transfers toward the _______ side
strong
In a standby-assist transfer, you position the wheelchair at ________ angle to the table
45 degree
Assisted standing pivot transfers are for patients who cannot transfer independently but can ____ _______ __ ____ ____
bear weight on their legs
In a assisted standing pivot transfer, you place a __________ _____ around the patient
transfer/gait belt
Two-Person Lifts are for patients who cannot ____ ________ and are ________
bear weight, lightweight
In a two-person lift, the ________ person should lif the patient’s _______, this person is usually in charge of the transfer and commands
stronger, torso
When are hydraulic lifts used?
when patients are too heavy to lift manually
Basic features of hydraulic lift (5)
- Four caster wheels
- Base of support can be widened or narrowed
- Handles for steering
- Ability to raise support arm
- Sling attachments
What position does a patient need to be in before being put into a sling/sling?
seated or recumbent
If a patient CAN assist with cart transfer, we may only be responsible for _____________ the involved body part
stabilizing/supporting
If patient CANNOT assist with cart transfer, then a ________ device or _____ ______ should be used
moving, draw sheet
During a cart transfer, begin by rolling the patient onto their side _____ from the direction of the transfer
away
Skin damage from transfers can occur in as liitle as _________
1 - 2 hours
________ patients are particularly vulnerable to skin damage during transfers
Elderly
Why do we use immobilization devices?
to reduce our own potential dose
slide 45
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